Aplicabilidade da classificação de Robson na avaliação das cesarianas na Maternidade Escola de Valença - RJ

Abstract

Introduction: Cesarean delivery is indicated in situations where vaginal delivery is not possible, representing 52% of the deliveries in the public health network. Objective: to collect and analyze data referring to caesarean deliveries performed at our maternity, in order to reduce its rates. Materials and Methods: It is a descriptive and observational study, based on medical records analysis, in which the pregnant women were classified according to the Robson Classification System in ten groups, where, in each group, they are classified according to their characteristics, which are: parity (nulliparous, multiparous with and without previous cesarean section); onset of delivery (spontaneous, induced or pre-delivery cesarean section), gestational age (preterm or term), fetal presentation (cephalic, chromic or transverse); and number of fetuses (one or more than one). Results: 728 medical records the Maternidade Escola de Valença - RJ, from July 2018 to July 2020, were analyzed. In the study, we concluded that group 5 was the most representative (40%), showing that is cesarean deliveries are commonly performed in patients that performed a previous cesarean delivery, and group 2 representes the second bigest contribuition (22%), showing that mesures must me implemented to reduce the rate of cesarian deliveries performed in nulliparous. Conclusion: Measures must be implemented at the Maternidade Escola de Valença to reduce the incidence of cesarean, through the training of professionals – in which the use of Robson Classification in the evaluation of pregnant women and the implementation of strategies to inform and enlight pregnant women would be positive.